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NPI Code Detail

MEDICARE: DR. AMIT BAJAJ MD

MEDICARE: DR. AMIT BAJAJ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianS3627TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639308257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMIT BAJAJ MD
Provider Business Mailing Address
First Line : 7429 LAS COLINAS BLVD STE 101
Second Line :
City : IRVING
State : TX
Zip : 75063-7573
Country : US
Telephone Number : 469-442-0202
Fax Number :
Provider Business Practice Location Address
First Line : 7429 LAS COLINAS BLVD STE 101
Second Line :
City : IRVING
State : TX
Zip : 75063-7573
Country : US
Telephone Number : 469-442-0202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2009
Last Update Date : 06/01/2020

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Directions to “ DR. AMIT BAJAJ MD” Practice Location

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